Chapter 2-Book Flashcards

1
Q

What is the most common benign tumor of the liver?

A

Cavernous Hemangioma

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2
Q

T/F

Cavernous Hemangioma’s consist of of blood filled channels.

A

True

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3
Q

What is the typical appearance of a hemangioma?

A

small, well defined hyperechoic round mass with enhancement.

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4
Q

Hemangiomas are more common in females.

T/F

A

True

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5
Q

The larger hemangiomas can have what kind of appearance?

A

it may be variable depending on the amount of fibrosis and degeneration

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6
Q

What is the 2nd most common benign liver mass after hemangioma?

A

Focal Nodular Hyperplasia

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7
Q

hyperplastic area of normal liver cells that are associated with a congenital vascular malformation

A

focal nodular hyperplasia

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8
Q

What is the distinguishing feature of a FNH?

A

central scar.

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9
Q

What is the typical age and location of FNH

A

childbearing age.

right lobe

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10
Q

What does FNH look like sonographically?

A
  • it is composed of liver cells and is isoechoic to liver parenchyma.
  • There will be prominent vascularity in the central car
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11
Q

Why is hepatocellular adenoma more worrisome than most lesions?

A

They are susceptible to hemorrhage and transform into a hepatocellular carcinoma.

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12
Q

Oral birth control and type 1 glycogen storage disease both have an established relationship with hepatocellular adenoma?

T/F

A

True

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13
Q

Why is it that hepatocellular adenomas can regress after stopping oral contraceptives?

A

because there is is a greater incidence of hepatocellular adenomas being associated with the use of birth control.

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14
Q

Lipomas are composed of fat cells

T/F

A

true

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15
Q

What is the most common primary malignant neoplasm of the liver?

A

Hepatocellular carcinoma

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16
Q

What are some risk factors of HCC?

A

Hep B, C, cirrhosis, nonalcoholic steatohepatitis, and aflatoxin exposure.

17
Q

What are the clinical findings of a patient with HCC?

A

palpable mass, hepatomegaly, fever, and signs of cirrhosis.

18
Q

Will HCC have an increase or decrease in Serum Alpha Fetoprotein levels?

A

increase

19
Q

What is the sonographic findings of HCC?

A

variable–

  • solitary mass, multiple masses, or diffuse infiltration.
  • posterior enhancement and a hypoechoic halo
20
Q

What is the most common malignant liver tumors?

A

Mets

21
Q

Mets usually manifest from cancer in what other places?

A

gallbladder, colon, stomach, and pancreas

22
Q

What are symptoms of someone with mets?

A

jaunice, pain, weight loss, an anorexia.

23
Q

What sign is usually associated with mets?

A

bulls’s eye appearance with a hypoechoic halo surrounding the lesion.